DESIRAE ANN TEMPLETON (NPI# 1093905895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093905895 |
| Entity Type | Individual |
| Full Name | DESIRAE ANN TEMPLETON |
| Credential | MS, PA-C |
| Practice Address |
725 N Pike St Grafton WV 26354-1270 |
| Mailing Address |
Po Box 35 Newburg WV 26410-0035 |
| Practice Telephone | 3042654909 |
| Practice Fax Number | 3042654915 |
| Mailing Telephone | 3048922828 |
| Mailing Fax Number | 3048922927 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2016-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 01234 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
394 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810025036 | 05 |
| Street Address |
725 N PIKE ST |
| City | GRAFTON |
| State | WV |
| Zip Code | 26354-1270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649265455 | Preston-taylor Community Health Centers Inc | Clinic/Center | 725 N Pike St, Grafton, WV 26354-1270 | 2005-09-19 |
| 1881257889 | Preston Taylor Community Health Centers, Incorporated | Pharmacy | 725 N Pike St, Grafton, WV 26354-1270 | 2019-04-16 |
| 1407372097 | Erica R. Gobel | Social Worker | 725 N Pike St, Grafton, WV 26354-1270 | 2017-08-16 |
| 1922402791 | Connie Guido | Pharmacist | 725 N Pike St, Grafton, WV 26354-1270 | 2014-10-22 |
| 1780023564 | Robin Kaye Gent | Pharmacist | 725 N Pike St, Grafton, WV 26354-1270 | 2013-06-14 |
| 1144545138 | Julie Annette Martinez-aguilar | Social Worker | 725 N Pike St, Grafton, WV 26354-1270 | 2010-04-01 |
| 1356509665 | Ryan Mayfield | Pharmacist | 725 N Pike St, Grafton, WV 26354-1270 | 2008-05-23 |
| 1760601850 | Preston Taylor Community Health Centers Inc | Pharmacy | 725 N Pike St, Grafton, WV 26354-1270 | 2007-04-25 |
| 1699873257 | Crystal D Rucker | Physician Assistant | 725 N Pike St, Grafton, WV 26354-1270 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547383 | Ruth Fern Bucklew | Technician | 705 Fast Lane, Grafton, WV 26354 | 2020-10-29 |
| 1649878281 | Stephanie Hess | Technician | 207 Low Bridge Rd, Grafton, WV 26354 | 2020-10-15 |
| 1952814428 | Taylor Health Care Center, LLC | Skilled Nursing Facility | 2 Hospital Plaza, Grafton, WV 26354 | 2017-11-07 |
| 1477079432 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 98 North Pike Street, Grafton, WV 26354 | 2017-08-21 |
| 1205008323 | Nancy Hickman | Physical Therapist | 82 Utt Dr, Grafton, WV 26354 | 2008-03-28 |
| 1780860098 | Taylor County Board of Education | Local Education Agency (LEA) | 82 Utt Drive, Grafton, WV 26354 | 2008-01-16 |
| 1770795353 | Taylor County Emergency Squad | Ambulance | 797 George Washington Hwy., Grafton, WV 26354 | 2007-05-04 |
| 1841308541 | Preston-taylor Community Health Centers Incorporated | Clinic/Center | 711 N Pike St, Grafton, WV 26354 | 2006-08-25 |
| 1609398585 | Grafton Taylor County Health Department | Clinic/Center | 718 W Main St, Grafton, WV 26354 | 2017-07-12 |
| 1215458864 | John W Byers, Dds, Pllc | Advanced Practice Dental Therapist | 122 Yates Ave, Grafton, WV 26354 | 2017-07-05 |
| Find all providers in zip 26354 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255684650 | Carrie Leach | Physician Assistant | 1 Hospital Plz, Grafton, WV 26354-1283 | 2012-10-23 |
| 1194898890 | Catherine P Morehead | Physician Assistant | 1 Hospital Plz, Grafton, WV 26354-1283 | 2006-11-17 |
| 1396830451 | Andrea P Schraith | Physician Assistant | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386270908 | Bonnie Lynn Blackburn | Physician Assistant | 10 Amalia Dr Ste C5, Buckhannon, WV 26201-2270 | 2020-03-15 |
| 1922638824 | Sara B Johnson | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 | 2020-01-19 |
| 1659835072 | Kristen Nicole Williams | Physician Assistant | 26 Portsmouth Ct N, Falling Waters, WV 25419-1430 | 2019-01-30 |
| 1629588876 | Robert Theodore Hartman | Physician Assistant | 620 National Rd Ste 300, Wheeling, WV 26003-6560 | 2017-10-02 |
| 1366967986 | Terri Leanne Belcher | Physician Assistant | 395 Emily Dr, Clarksburg, WV 26301-5505 | 2017-08-04 |
| 1760937056 | Ryan Aston | Physician Assistant | 58 16th St Fl 4, Wheeling, WV 26003-3660 | 2016-08-17 |
| 1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
| 1891197323 | Rachelle Lyle Stewart | Physician Assistant | 1500 Terrace St Ste 105, Hinton, WV 25951-9768 | 2014-09-16 |
| 1285043224 | Sarah Gutman Brammer | Physician Assistant | 30 Medical Park Ste 211, Wheeling, WV 26003-6391 | 2014-08-04 |
| 1841603529 | Timothy Douglas | Physician Assistant | 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 | 2014-06-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.